School Drop Out PreventionIKONCT03239249
The Cluster-randomized Evaluation of the IKO-model
A study testing IKO-model and Treatment as usual in people with School Drop Out Prevention, run by Oslo Metropolitan University at 42 sites in Norway.
Trial summary
The aim of this study is to analyze whether and how a systemic school-level approach to dropout prevention (the IKO-model), increase the completion rate from upper secondary school. The hypothesis is that schools that implement the model (i.e. Read more about this study
- Who is it for?
- Ages 15 to 16 yearsHealthy volunteers can take part
- Conditions the study is for
- School Drop Out Prevention
- What is being tested?
- IKO-model and Treatment as usual
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 7,678 participants
- Where
- 42 sitesNorway
- Study dates
- 1 Mar 2016to 1 Dec 2021
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 15 to 16 years
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- 42 upper secondary schools in 4 Norwegian counties participate in the evaluation project.
- All first grade students in 2016 and 2017 arre followed up in the project.
- All first grade teachers are included in the study.
Who cannot join
- NA
Trial locations and contacts
42 sites in 1 country.
42 sites in 1 country
Norway42 sites
Storsteigen videregående skole
Alvdal, Hedmark, 2560
Arendal videregående skole
Arendal, Aust-Agder Fylkeskommune, 4836
Sam Eyde videregående skole
Arendal, Aust-Agder, 4848
Solør videregående skole
Braskereidfoss, Hedmark, 2435
Ringsaker videregående skole
Brumunddal, Hedmark, 2380
Dokka videregående skole
Dokka, Oppland, 2870
Elverum videregående skole
Elverum, Hedmark, 2402
Gjøvik videregående skole
Gjøvik, Oppland, 2819
Hadeland videregående skole
Gran, Oppland, 2750
Dahlske videregående skole
Grimstad, Aust-Agder, 4877
Grong videregående skole
Grong, Nord-Trøndelag, 7870
Nord Gulbrandsdalen videregående skole
Gulbrandsdalen, Oppland
Hamar katedralskole
Hamar, Hedmark, 2315
Storhamar videregående skole
Hamar, Hedmark, 2315
Setesdal videregående skole
Hornnes, Aust-Agder, 4737
Inderøy videregående skole
Inderøy, Nord-Trøndelag, 7670
Sentrum videregående skole
Kongsvinger, 2212
Øvrebyen videregående skole
Kongsvinger, 2213
Midt-Østedal videregående skole
Koppang, Hedmark, 2480
Valdres videregående skole
Leira, Oppland, 2920
Leksvik videregående skole
Leksvik, Nord-Trøndelag, 7120
Lena-Valle videregående skole
Lena, Oppland, 2850
Levanger videregående skole
Levanger, Nord-Trøndelag, 7600
Lillehammer videregående skole
Lillehammer, Oppland, 2609
Møglestu videregående skole
Lillesand, Aust-Agder, 4790
Meråker videregående skole
Meråker, Nord-Trøndelag, 7530
Olav Duun videregående skole
Namsos, Nord-Trøndelag, 7800
Gausdal videregående skole
Østre Gausdal, Oppland, 2651
Raufoss videregående skole
Raufoss, Oppland, 2830
Risør videregående skole
Risør, Aust-Agder, 4950
Ytre Namdal videregående skole
Rørvik, 7900
Skarnes videregående skole
Skarnes, Hedmark, 2100
Mære landbruksskole
Sparbu, Nord-Trøndelag, 7710
Jønsberg videregående skole
Stange, Hedmark, 2335
Stange videregående skole
Stange, Hedmark, 2335
Steinkjer videregående skole
Steinkjer, Nord-Trøndelag, 7716
Ole Vig videregående skole
Stjørdal, Nord-Trøndelag, 7500
Trysil videregående skole
Trysil, Hedmark, 2420
Tvedestrand og Åmli videregående skole
Tvedestrand, Aust-Agder, 4900
Nord-Østedal videregående skole
Tynset, Hedmark, 2500
Verdal videregående skole
Verdal, Nord-Trøndelag, 7650
Vinstra videregående skole
Vinstra, Oppland, 2640
About this study
Official title: Systematic Follow-up in Order to Reduce Drop-out in Upper Secondary Schools: A Cluster-randomized Evaluation of the IKO-model
The aim of this study is to analyze whether and how a systemic school-level approach to dropout prevention (the IKO-model), increase the completion rate from upper secondary school. The hypothesis is that schools that implement the model (i.e. randomized to the experimental group), will reduce the amount of students in risk of dropout, compared to their counterparts in schools randomized to the control group. The main expected outcomes in the study are; 1) increased amounts of students in upper secondary education completing their education within the three-year standard length of education, 2) decreased amounts of school-drop out, and 3) reduced values in mediating variables, such as low achievement, course failures, lack of attendance and lack of school-motivation and -effort. Accordingly, implementation quality and fidelity to the model will be assessed, both with quantitative (survey) and qualitative (interviews and observation) data. A total of five counties and 42 upper secondary schools participate in the evaluation project. One of the counties (Akershus County) have developed and piloted the model and function as a mentor in the other four counties (Oppland, Hedmark, Nord-Trøndelag and Hamar). While 20 schools have been randomized to the experimental group, 22 schools have been randomized to the control group. Schools randomized to the control group will work as earlier with school dropout.
Read the detailed description
The aim of this study is to analyze whether and how a systemic school-level approach to dropout prevention (the IKO-model), increase the completion rate from upper secondary school. The hypothesis is that schools that implement the model (i.e. randomized to the experimental group), will reduce the amount of students in risk of dropout, compared to their counterparts in schools randomized to the control group. The main expected outcomes in the study are; 1) increased amounts of students in upper secondary education completing their education within the three-year standard length of education, 2) decreased amounts of school-drop out, and 3) reduced values in mediating variables, such as low achievement, course failures, lack of attendance and lack of school-motivation and -effort. Accordingly, implementation quality and fidelity to the model will be assessed, both with quantitative (survey) and qualitative (interviews and observation) data. A total of five counties and 42 upper secondary schools participate in the evaluation project. One of the counties (Akershus County) have developed and piloted the model and function as a mentor in the other four counties (Oppland, Hedmark, Nord-Trøndelag and Hamar). While 20 schools have been randomized to the experimental group, 22 schools have been randomized to the control group. Schools randomized to the control group will work as earlier with school dropout.
The implemented model is based on the County of Akershus´ experiences of developing and implementing the IKO-model since 2009. The IKO-model represents a systemic intervention at the school-level level, with the aim of improving the schools' follow-up structures related to students in risk of school dropout.
The basic idea of the model is that there are three groups of students: 1) students with ordinary follow-up needs, 2) students with the right to special education and 3) students without the right to special education, but who need individually targeted efforts from time to time. While there are guidelines and requirements when it comes to the follow-up of students with the right to special education, schools are less systematic in their approaches to students with temporary need for follow-up. Hence, the IKO-model focuses on improving the way schools identify and follow-up students in risk for dropout, but who do not qualify for special education. It is also emphasized, that time-limited and low-cost interventions are sufficient enough to reduce the risk of drop-out for the majority of students within this group, however the most important is to identify problems early and find solutions quickly. The goal is to remove the need for additional interventions as soon as possible and return students to normal education.
Another assumption is that the model will help schools to implement goal-focused targeted interventions at an early stage and ensure that the measures implemented are adjusted based on student needs. At student level the model aim to a) early identify students "in risk" for drop-out , b) charter students´ situation in order to find suitable interventions, and c) follow-up identified students with immediate interventions including an ongoing evaluation of their situation. In order for schools to succeed at identifying, chartering and following-up students, three main school-level components are implemented; 1) a computer assisted early warning system, 2) organizational structures and practices that enables schools to monitor progress and implement effective interventions, and 3) external and school internal communities of learning.
The research question is whether, how and to what extent the IKO-model reduce drop-out from upper secondary school. The hypothesis is that the IKO-model will assist schools in their work with identifying, charting and supporting students in risk through the early warning system, organization-level monitoring practices, and communities of learning. The main outcome assessed is reduced amounts of students that dropout from upper secondary school measured through increased amounts of students accomplishing education within the three-year standard length. The intervention is also expected to reduce amounts of students not in education, activity or employment at follow-up.
- Conditions
- School Drop Out Prevention
- Being tested
- IKO-model, Treatment as usual
- Keywords
- school dropout prevention, intervention study, cluster-randomized
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IKO-modelOther
A systematic model for drop-out prevention.
Treatment as usualOther
Schools randomized to control group (22) work as previously with school dropout
| Study group | Role | What they receive |
|---|---|---|
| Intervention group: IKO-model (20 schools) | Experimental | Schools randomized to experimental group will implement the IKO-drop-out prevention intervention. Each county have a project leader responsible for following up the implementation. The model is described in a manual, that schools should follow. Receives: Other: IKO-model |
| Treatment as usual (22 schools) | Active comparator | Schools randomized to control group will work as previously with their drop-out prevention. This include various activities, but they are not systematic as in the IKO-model. Receives: Other: Treatment as usual |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in the amount of students accomplishing their education within 3 years
Administrative data delivered from the counties
Measured: 3 years after baseline measurement (T1)
change in the level of absence for students
Level of absence in upper secondary school, measured by administrative data
Measured: baseline data (prior to randomization) compared to +12, +24 and +36 months after baseline
change in grades (maths, norwegian, english)
improved grades in upper secondary school, measured by administrative data
Measured: baseline data (prior to randomization) compared to +12, +24 and +36 months after baseline
Secondary outcomes (2)
change in school motivation
A Norwegian scale measuring school motivation
Measured: comparison between baseline data (T1) and follow-up 18 months later
change in school achievement
Harters self-perception profile for adolescents
Measured: comparison between baseline data (T1) and follow-up 18 months later
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Aug 2017
- Study start1 Mar 2016
- Primary completion1 Dec 2021
- Study completion1 Dec 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for School Drop Out PreventionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Of all schools (42) in four counties, 20 have been randomized to experimental and 22 have been randomized to control condition. Schools randomized to experimental condition implement the IKO-model, while schools randomized to control condition work with drop-out as previously.
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 7,678 participants (actual)
Sponsor and investigators
- Lead sponsor
- Oslo Metropolitan University
- Sponsor type
- University, hospital or other
- Collaborators
- Norwegian ministry of Education and Research
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03239249
- Sponsor's protocol ID
- 48657 (NSD)
- Acronym
- IKO
- Status last verified
- Sep 2020
- First submitted
- 6 Jun 2017
- Last updated
- 28 Sep 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 28 Sep 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Systematic Follow-up in Order to Reduce Drop-out in Upper Secondary Schools: A Cluster-randomized Evaluation of the IKO-model
- ClinicalTrials.gov ID
- NCT03239249
- Acronym / sponsor ID
- IKO / 48657 (NSD)
- Conditions
- School Drop Out Prevention
- Keywords
- school dropout prevention, intervention study, cluster-randomized
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 7,678 participants (actual)
- Lead sponsor
- Oslo Metropolitan UniversityUniversity, hospital or other
- Collaborators
- Norwegian ministry of Education and Research
- Study start
- 1 Mar 2016 (actual)
- Primary completion
- 1 Dec 2021 (actual)
- Study completion
- 1 Dec 2021 (actual)
- First posted
- 4 Aug 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this study is to analyze whether and how a systemic school-level approach to dropout prevention (the IKO-model), increase the completion rate from upper secondary school. The hypothesis is that schools that implement the model (i.e. randomized to the experimental group), will reduce the amount of students in risk of dropout, compared to their counterparts in schools randomized to the control group. The main expected outcomes in the study are; 1) increased amounts of students in upper secondary education completing their education within the three-year standard length of education, 2) decreased amounts of school-drop out, and 3) reduced values in mediating variables, such as low achievement, course failures, lack of attendance and lack of school-motivation and -effort. Accordingly, implementation quality and fidelity to the model will be assessed, both with quantitative (survey) and qualitative (interviews and observation) data. A total of five counties and 42 upper secondary schools participate in the evaluation project. One of the counties (Akershus County) have developed and piloted the model and function as a mentor in the other four counties (Oppland, Hedmark, Nord-Trøndelag and Hamar). While 20 schools have been randomized to the experimental group, 22 schools have been randomized to the control group. Schools randomized to the control group will work as earlier with school dropout.
Detailed description
The aim of this study is to analyze whether and how a systemic school-level approach to dropout prevention (the IKO-model), increase the completion rate from upper secondary school. The hypothesis is that schools that implement the model (i.e. randomized to the experimental group), will reduce the amount of students in risk of dropout, compared to their counterparts in schools randomized to the control group. The main expected outcomes in the study are; 1) increased amounts of students in upper secondary education completing their education within the three-year standard length of education, 2) decreased amounts of school-drop out, and 3) reduced values in mediating variables, such as low achievement, course failures, lack of attendance and lack of school-motivation and -effort. Accordingly, implementation quality and fidelity to the model will be assessed, both with quantitative (survey) and qualitative (interviews and observation) data. A total of five counties and 42 upper secondary schools participate in the evaluation project. One of the counties (Akershus County) have developed and piloted the model and function as a mentor in the other four counties (Oppland, Hedmark, Nord-Trøndelag and Hamar). While 20 schools have been randomized to the experimental group, 22 schools have been randomized to the control group. Schools randomized to the control group will work as earlier with school dropout.
The implemented model is based on the County of Akershus´ experiences of developing and implementing the IKO-model since 2009. The IKO-model represents a systemic intervention at the school-level level, with the aim of improving the schools' follow-up structures related to students in risk of school dropout.
The basic idea of the model is that there are three groups of students: 1) students with ordinary follow-up needs, 2) students with the right to special education and 3) students without the right to special education, but who need individually targeted efforts from time to time. While there are guidelines and requirements when it comes to the follow-up of students with the right to special education, schools are less systematic in their approaches to students with temporary need for follow-up. Hence, the IKO-model focuses on improving the way schools identify and follow-up students in risk for dropout, but who do not qualify for special education. It is also emphasized, that time-limited and low-cost interventions are sufficient enough to reduce the risk of drop-out for the majority of students within this group, however the most important is to identify problems early and find solutions quickly. The goal is to remove the need for additional interventions as soon as possible and return students to normal education.
Another assumption is that the model will help schools to implement goal-focused targeted interventions at an early stage and ensure that the measures implemented are adjusted based on student needs. At student level the model aim to a) early identify students "in risk" for drop-out , b) charter students´ situation in order to find suitable interventions, and c) follow-up identified students with immediate interventions including an ongoing evaluation of their situation. In order for schools to succeed at identifying, chartering and following-up students, three main school-level components are implemented; 1) a computer assisted early warning system, 2) organizational structures and practices that enables schools to monitor progress and implement effective interventions, and 3) external and school internal communities of learning.
The research question is whether, how and to what extent the IKO-model reduce drop-out from upper secondary school. The hypothesis is that the IKO-model will assist schools in their work with identifying, charting and supporting students in risk through the early warning system, organization-level monitoring practices, and communities of learning. The main outcome assessed is reduced amounts of students that dropout from upper secondary school measured through increased amounts of students accomplishing education within the three-year standard length. The intervention is also expected to reduce amounts of students not in education, activity or employment at follow-up.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- Of all schools (42) in four counties, 20 have been randomized to experimental and 22 have been randomized to control condition. Schools randomized to experimental condition implement the IKO-model, while schools randomized to control condition work with drop-out as previously.
| Arm | Type | Receives |
|---|---|---|
| Intervention group: IKO-model (20 schools) | Experimental | Other: IKO-modelSchools randomized to experimental group will implement the IKO-drop-out prevention intervention. Each county have a project leader responsible for following up the implementation. The model is described in a manual, that schools should follow. |
| Treatment as usual (22 schools) | Active comparator | Other: Treatment as usualSchools randomized to control group will work as previously with their drop-out prevention. This include various activities, but they are not systematic as in the IKO-model. |
Who may qualify
- Ages
- 15 to 16 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (3 listed)
- 42 upper secondary schools in 4 Norwegian counties participate in the evaluation project.
- All first grade students in 2016 and 2017 arre followed up in the project.
- All first grade teachers are included in the study.
Key exclusion criteria (1 listed)
- NA
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| IKO-modelA systematic model for drop-out prevention. | Other | Intervention group: IKO-model (20 schools) |
| Treatment as usualSchools randomized to control group (22) work as previously with school dropout | Other | Treatment as usual (22 schools) |
Primary outcome
Change in the amount of students accomplishing their education within 3 years
Time frame: 3 years after baseline measurement (T1)
Administrative data delivered from the counties
change in the level of absence for students
Time frame: baseline data (prior to randomization) compared to +12, +24 and +36 months after baseline
Level of absence in upper secondary school, measured by administrative data
change in grades (maths, norwegian, english)
Time frame: baseline data (prior to randomization) compared to +12, +24 and +36 months after baseline
improved grades in upper secondary school, measured by administrative data
2 secondary outcomes
change in school motivation
Time frame: comparison between baseline data (T1) and follow-up 18 months later
change in school achievement
Time frame: comparison between baseline data (T1) and follow-up 18 months later
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Sep 2022.
- Individual participant dataSharing planned: No
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
42 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing IKO-model and Treatment as usual in people with School Drop Out Prevention, run by Oslo Metropolitan University at 42 sites in Norway.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 Sep 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 42 sites in Norway. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in the amount of students accomplishing their education within 3 years (time frame: 3 years after baseline measurement (T1)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Sep 2022.